JENNIFER LONGWELL

BOISE, ID
NPI1194350157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2173)
Enumeration Date2020-03-10
Last Update Date2020-03-10
Business Address
JENNIFER LONGWELL OTR/L
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
Mailing Address
JENNIFER LONGWELL OTR/L
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152